Debre, Michael W

Debre, Michael W is an individual health care provider with primary practice located at 11600 S Kedzie Ave Suite B, Merrionette Park IL 60803-6307. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Debre, Michael W can be contacted via phone (708) 684-6867.

Contact Information

Primary practice address
11600 S Kedzie Ave Suite B Merrionette Park IL 60803-6307
Phone: (708) 684-6867
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 036053268 Illinois

Profile Details

NPI number 1215044508
LBN Legal business name Debre, Michael W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 24th, 2006
Last updated Jun 25th, 2013 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1215044508 NPPES
Illinois MEDICAID 36053268

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